The suffix "xxl" suggests a focus on larger body types, which can be seen as both positive and problematic. On one hand, it acknowledges the diversity of body shapes and sizes within the trans community. On the other hand, it risks perpetuating objectification and reducing individuals to their physical appearance.

While commonly used in the adult industry and certain internet searches, this term is widely considered a slur or offensive when applied to transgender people in daily life. Most individuals prefer terms like transgender woman , trans woman , or trans feminine .